Die Unverzichtbarkeit der Beratung bzw. Prüfung einer medizinischen Studie durch eine Ethikkommission ist weithin anerkannt. Dennoch sind Forschungsethikkommissionen immer wieder der Kritik, z.B. nach mehr Effizienz, Transparenz oder Konsistenz ausgesetzt. Evaluationsinstrumente für Ethikkommissionen beinhalten oft implizite Vorstellungen „guter“ Qualität. Aus ethischer Sicht sind vor allem der Schutz der Versuchsperson und eine vertretbare Schaden-Nutzen-Bewertung wichtig. Der interdisziplinäre Sammelband geht der Frage auf den Grund, wie sich eine Qualitätsverbesserung aus ethischer Sicht gewährleisten und umsetzen lässt. Der Inhalt · Ethikkommissionen im rechtlichen und (...) ethischen Diskurs · Rechtliche Rahmenbedingungen von Ethikkommissionen in der Schweiz und organisatorische und prozedurale Qualitätskriterien · Forschungs-Ethikkommissionen in der Schweiz: Qualitätsbewertung aus ethischer Sicht · Ethikkommissionen als Patientenschutzkommissionen · Die ethische Aufgabe von Ethikkommissionen angesichts normativer Divergenz von Therapie und Forschung · Ethische Theorien und die Bewertung von Forschungsvorhaben · Kriterien für die ethische Qualität des Begutachtungsprozesses · Schutz der Versuchsperson: Forderungen aus ethischer Sicht zur Struktur-, Prozess- und Ergebnisqualität Die Herausgeber Prof. Dr. Monika Bobbert lehrt und forscht zur Moraltheologie und Medizinethik an der Universität Münster. Dr. Gregor Scherzinger ist wissenschaftlicher Mitarbeiter am Institut für Sozialethik der Universität Luzern. (shrink)

ZusammenfassungIn Deutschland stellen sich in Bezug auf die pflegerische Versorgung grundlegende Gerechtigkeitsprobleme. Sechs sozialethische Probleme werden behandelt, deren Lösung Priorität hat, wenn es um gerechtere Rahmenbedingungen für die berufliche Pflege geht: Da jeder Pflegekräftemangel insofern menschenrechtsrelevant ist als berechtigte Hilfsansprüche Pflegebedürftiger nicht erfüllt werden können, muss erstens die Überwindung des Personalmangels oberste Priorität erhalten. Zweitens verteilen Pflegegutachter ein großes Finanzvolumen aus der Pflegeversicherung mittels Pflegegradbeurteilungen. Aus Gründen der Bedürfnisgerechtigkeit wird vorgeschlagen, dass Pflegende sich bei dieser sozialstaatlichen Aufgabe stärker am Selbstverständnis (...) der Sozialarbeit orientieren und die Weiterbildungen in einen Studiengang überführt werden. Angesichts weitreichender Auswirkungen von Zeitdruck auf pflegerische Interaktionen und das Berufsbild ist drittens ein Teil der Zeitverdichtung zurückzunehmen. Viertens wird dargelegt, welche Belastungen mit einem hohen Krankenstand und Personalmangel einhergehen und wie Risikofaktoren entgegenzuwirken ist. Fünftens müssen den speziellen Belastungen des Pflegeberufs Ressourcen zur Seite gestellt werden, und sechstens könnten Strukturen der Ethikberatung moralischen Stress verringern. (shrink)

Seit 2003 ist neben Medizingeschichte und -theorie Medizinethik Bestandteil des Pflichtstudiencurriculums (Querschnittsbereich GTE). Zuvor, seit Ende der 80er Jahre, hatte es an vielen medizinischen Fakultäten optionale Veranstaltungen zur Medizinethik gegeben. Die Analyse von Veröffentlichungen zur Didaktik der Medizinethik und von Unterrichtscurricula zeigt, dass einem relativ geringen Stundenkontingent anspruchsvolle kognitive, emotionale und handlungsorientierte Lehrziele gegenüberstehen. Offenbar wird von der Medizinethik praxisbezogene Problemlösungskompetenz erwartet. Zugleich zeigt sich, dass die Vorbereitung der Studierenden auf schwierige moralische Entscheidungen nach wie vor ein Desiderat darstellt. Angesichts (...) der unausweichlichen Kluft zwischen Lehrzielen und Vermittlungsergebnissen bedarf es einer erneuten Lehrziel- und Curriculumsdiskussion. (shrink)

Seit 2003 ist neben Medizingeschichte und -theorie Medizinethik Bestandteil des Pflichtstudiencurriculums (Querschnittsbereich GTE). Zuvor, seit Ende der 80er Jahre, hatte es an vielen medizinischen Fakultäten optionale Veranstaltungen zur Medizinethik gegeben. Die Analyse von Veröffentlichungen zur Didaktik der Medizinethik und von Unterrichtscurricula zeigt, dass einem relativ geringen Stundenkontingent anspruchsvolle kognitive, emotionale und handlungsorientierte Lehrziele gegenüberstehen. Offenbar wird von der Medizinethik praxisbezogene Problemlösungskompetenz erwartet. Zugleich zeigt sich, dass die Vorbereitung der Studierenden auf schwierige moralische Entscheidungen nach wie vor ein Desiderat darstellt. Angesichts (...) der unausweichlichen Kluft zwischen Lehrzielen und Vermittlungsergebnissen bedarf es einer erneuten Lehrziel- und Curriculumsdiskussion. (shrink)

In Deutschland stellen sich in Bezug auf die pflegerische Versorgung grundlegende Gerechtigkeitsprobleme. Sechs sozialethische Probleme werden behandelt, deren Lösung Priorität hat, wenn es um gerechtere Rahmenbedingungen für die berufliche Pflege geht: Da jeder Pflegekräftemangel insofern menschenrechtsrelevant ist als berechtigte Hilfsansprüche Pflegebedürftiger nicht erfüllt werden können, muss erstens die Überwindung des Personalmangels oberste Priorität erhalten. Zweitens verteilen Pflegegutachter ein großes Finanzvolumen aus der Pflegeversicherung mittels Pflegegradbeurteilungen. Aus Gründen der Bedürfnisgerechtigkeit wird vorgeschlagen, dass Pflegende sich bei dieser sozialstaatlichen Aufgabe stärker am Selbstverständnis (...) der Sozialarbeit orientieren und die Weiterbildungen in einen Studiengang überführt werden. Angesichts weitreichender Auswirkungen von Zeitdruck auf pflegerische Interaktionen und das Berufsbild ist drittens ein Teil der Zeitverdichtung zurückzunehmen. Viertens wird dargelegt, welche Belastungen mit einem hohen Krankenstand und Personalmangel einhergehen und wie Risikofaktoren entgegenzuwirken ist. Fünftens müssen den speziellen Belastungen des Pflegeberufs Ressourcen zur Seite gestellt werden, und sechstens könnten Strukturen der Ethikberatung moralischen Stress verringern. (shrink)

Zusammenfassung Digitale Programme unterstützen mittlerweile sowohl die Erhebung des Pflegebedarfs und die Pflegeplanung als auch die Dokumentation der geleisteten Pflege. Neben Verbesserungen ergeben sich jedoch auch Spannungen zwischen der Verrichtungsorientierung und Standardisierung der digitalen Systeme und dem Fürsorgeethos der Pflege. Daher sind digitale Systeme sowohl aus pflegefachlicher als auch aus pflegeethischer Sicht zu beleuchten, um Chancen und Risiken aufzuzeigen. Pflegeverständnis und Pflegeziele werden in digitalen Programmen nicht explizit gemacht. Bedingt durch die mangelnde Transparenz können sich professionell Pflegende mit gegebenenfalls anderen (...) Pflegeverständnissen nicht dazu verhalten und von den Gepflegten auch keine angemessene Zustimmung zu Pflegemaßnahmen und -zielen einholen. Die Analyse einiger gängiger Programme zeigt, dass digitale Systeme zur somatischen Verkürzung der Pflege tendieren. So werden derzeit Ziele und Maßnahmen zur Kommunikation, Beziehungsgestaltung und Begleitung in Phasen von Krankheit und Sterben kaum abgebildet. In der Einführung digitaler Systeme liegt im Grunde die Chance eines Neubeginns, da sie durch digitale Normierungen zu stärkerer Patientenorientierung und Partizipation beitragen könnten. Es sollte zugleich jedoch die Partizipation der Betroffenen gewährleistet und die Transparenz und Veränderbarkeit der Systeme gewährleistet sein. (shrink)

The notion of empathy has been explicated in different ways in the current debate on how to understand others. Whereas defenders of simulation-based approaches claim that empathy involves some kind of isomorphism between the empathizer’s and the target’s mental state, defenders of the phenomenological account vehemently deny this and claim that empathy allows us to directly perceive someone else’s mental states. Although these views are typically presented as being opposed, I argue that at least one version of a simulation-based approach—the (...) account given by de Vignemont and Jacob—is compatible with the direct-perception view. My argument has two parts: My first step is to show that the conflict between these accounts is not—as it seems at first glance—a disagreement on the mechanism by which empathy comes about. Rather, it is due to the fact that their proponents attribute two very different roles to empathy in understanding others. My second step is to introduce Stein’s account of empathy. By not restricting empathy to either one of these two roles, her process model of empathy helps to see how the divergent intuitions that have been brought forward in the current debate could be integrated. (shrink)

Comprehensive study of the Vākyapadīya of Bhartr̥hari, work on semantics and philosophy of Sanskrit grammar.

It has become increasingly common to talk about the second person in the theory of mind debate. While theory theory and simulation theory are described as third person and first person accounts respectively, a second person account suggests itself as a viable, though wrongfully neglected third option. In this paper I argue that this way of framing the debate is misleading. Although defenders of second person accounts make use of the vocabulary of the theory of mind debate, they understand some (...) of the core expressions in a different way. I will illustrate this claim by focusing on Reddy’s and Gallagher’s accounts and argue that these authors use the notions of knowing and of understanding other minds differently than traditionally assumed. As a consequence, second person accounts thus conceived do not directly address the questions that gave rise to the theory of mind debate. They invite us, however, to critically reflect upon the way the debate has been set up. (shrink)

Fenomén zakoušené psychedelie (doslova „vyjevení mysli“) stojí na pomezí filosofického zkoumání a antropologického bádání. V našem příspěvku se pokusíme nahlédnout jedno ze základních filosofických východisek amerického etnobotanika a antropologa Terence McKenny, které našel u Hérakleita a jeho pojetí logu. Dle Terence McKenny se při psychedelické zkušenosti děje "emanace" Logu a je to také Logos, který dle Terence McKenny promlouvá k modernímu člověku skrze technologii. V tomto článku není zkoumána úplnost oprávnění ztotožnění McKennova pojetí logu s tím Herakleitovským, ale úvodní vyložení (...) McKennových inspirativních úvah. (shrink)

This paper argues that critical realism is one of the main theoretical orientations of the social sciences in the twentieth and twenty-first centuries. Critical realism aims to study the transcende...

According to Aristotle, wisdom orchestrates all other virtues and therefore leads to eudaimonia, which can be translated as flourishing or psychological well-being. Wisdom guides people to take the morally right course of action in concrete situations to benefit themselves and others. If Aristotle’s theory is correct, then wisdom should be related to different moral virtues and wisdom, rather than individual virtues, should predict eudaimonic well-being, establishing wisdom as the driving force behind human flourishing. Survey data were collected from 230 undergraduate (...) students (M = 21 years, median age = 20 years) attending five different classes in the social sciences at a university in the Southeast of the United States at the beginning and end of the fall semester in 2016. Bivariate correlations, regression analyses, and a structural equation model were utilized to analyze the data. Three-dimensional wisdom (3D-WS) at the beginning of the semester (T1), consisting of the average of cognitive, reflective, and compassionate personality qualities, was significantly positively related to gratitude, forgiveness, morality/fairness, modesty, greed avoidance, and sincerity at T1. Wisdom at T1 predicted flourishing at the end of the semester (T2), assessed by self-acceptance, mastery, purpose in life, and orientation toward personal growth. Among the virtues, only gratitude at T1 significantly predicted flourishing at T2. It appears that Aristotle was correct! Wisdom, at least as measured by the 3D-WS, seems to orchestrate moral virtues and result in human flourishing. This implies that cultivating the development of wisdom will lead to a better and more flourishing life. (shrink)

Our daily lives unfold continuously, yet our memories are organised into distinct events, situated in a specific context of space and time, and chunked when this context changes (at event boundaries). Previous research showed that this process, termed event segmentation, enhances object-context binding but impairs temporal order memory. Physiologically, peaks in pupil dilation index event segmentation, similar to emotion-induced bursts of autonomic arousal. Emotional arousal also modulates object-context binding and temporal order memory. Yet, these two critical factors have not been (...) systematically studied together. To address this gap, we ran a behavioural experiment using a paradigm validated to study event segmentation and extended it with emotion manipulation. During encoding, we sequentially presented greyscale objects embedded in coloured frames (colour changes defining events), with a neutral or aversive sound. During retrieval, we tested participants’ memory of temporal order memory and object-colour binding. We found opposite effects of emotion and event segmentation on episodic memory. While event segmentation enhanced object-context binding, emotion impaired it. On the contrary, event segmentation impaired temporal order memory, but emotion enhanced it. These findings increase our understanding of episodic memory organisation in laboratory settings, and potentially in real life with perceptual changes and emotion fluctuations constantly interacting. (shrink)

Vocal fry is a phonation, or voicing, in which an individual drops their voice below its natural register and consequently emits a low, growly, creaky tone of voice. Media outlets have widely acknowledged it as a generational vocal style characteristic of millennial women. Critics of vocal fry often claim that it is an exclusively female vocal pattern, and some say that the voicing is so distracting that they cannot understand what is being said under the phonation. Claiming that a phonation (...) is so distracting as to prevent uptake of the semantic content of an utterance associated with it is an extreme reaction, especially when accompanied by demands for women to change their phonation. We argue that this reaction limits women's communicative autonomy. We analyze the extreme reaction to female vocal fry, which we characterize as a non-content-based response, from the perspectives of philosophy of language, feminist epistemology, and linguistics. We argue that when fry is heard as annoying and distracting, it is because the hearer interprets the speaker as echoing an utterance from a position of authority to which she is not entitled. We show that this reaction encodes conscious or unconscious sexist attitudes toward women's voices. (shrink)

Human–nonhuman chimeras have been the focus of ethical controversies for more than a decade, yet some related issues remain unaddressed. For example, little has been said about the relationship between the origin of transferred cells and the morally relevant capacities to which they may give rise. Consider, for example, a developing mouse fetus that receives a brain stem cell transplant from a human and another that receives a brain stem cell transplant from a dolphin. If both chimeras acquire morally relevant (...) capacities as a result of transplantation, and if those capacities are indistinguishable, should the difference in cell origin matter to how we classify these creatures? I argue that if morally relevant capacities are easy to detect, cell origin is irrelevant to how the chimera ought to be treated. However, if such capacities are hard to detect, cell origin should play a role in considerations about how to treat the chimera. (shrink)

Similar to personal wisdom, which is believed to be beneficial for individuals, others, and the larger community, wise organizations are likely to have a positive impact on employee well-being if their ultimate goal is to promote the common good. To test this hypothesis and create a wise organization index, the cognitive, reflective, and compassionate dimensions of the Three-Dimensional Wisdom Model were integrated with the psychological needs for competence, autonomy, and relatedness of Self-Determination Theory. The wise organization index consisted of the (...) average ratings of ten scales by forty-seven to 1,930 employees in twenty-four organizations. Analyses of two-level hierarchical linear models showed that the positive association between the wisdom scores of twenty-four organizations and the well-being scores of 9130 employees was mediated by supervisor support and job fulfillment. The study suggests that employees who are treated well, feel well and fulfilled at work, which likely benefits the organization’s long-term success. (shrink)

This book provides a detailed commentary on the classic monograph by Alfred Tarski, and offers a reinterpretation and retranslation of the work using the original Polish text and the English and German translations. In the original work, Tarski presents a method for constructing definitions of truth for classical, quantificational formal languages. Furthermore, using the defined notion of truth, he demonstrates that it is possible to provide intuitively adequate definitions of the semantic notions of definability and denotation and that the notion (...) in a structure can be defined in a way that is analogous to that used to define truth. Tarski’s piece is considered to be one of the major contributions to logic, semantics, and epistemology in the 20th century. However, the author points out that some mistakes were introduced into the text when it was translated into German in 1935. As the 1956 English version of the work was translated from the German text, those discrepancies were carried over in addition to new mistakes. The author has painstakingly compared the three texts, sentence-by-sentence, highlighting the inaccurate translations, offering explanations as to how they came about, and commenting on how they have influenced the content and suggesting a correct interpretation of certain passages. Furthermore, the author thoroughly examines Tarski’s article, offering interpretations and comments on the work. (shrink)

Globally, the population is ageing, which has serious consequences for businesses. The prosperity of companies is crucially dependent on the ability to effectively manage their employees, including older workers. Best practice in age management is defined as those measures that combat age barriers and/or promote age diversity. These measures may entail specific initiatives aimed at particular dimensions of age management; they may also include more general employment or human resources policies that help to create an environment in which individual employees (...) can achieve their potential without being disadvantaged by their age. Promoting early retirement is generally not encouraged. Companies now have to encourage longer working lives. Much needs to be done to ensure that work remains a positive experience for workers throughout their career trajectories, and it does not damage their health. It has been found by studies that health is significantly related to retirement timing, influences work performance, and health-related organisational policies can positively influence employee retention. The major contemporary challenges to health at work are those associated with the way work, and work organisations are designed and managed. This is especially true for older workers. A comprehensive and effective approach towards age management can be very beneficial for them. How should companies implement age management? Some possible ways are set out in this policy brief below, which focuses on best practices in age management regarding ergonomic aspects and health interventions for older workers at an organisational level. The intention is to discuss the current situation and to illustrate some organisational techniques in selected countries. This policy brief can serve as an inspiration for, among others, companies and policymakers. Recommendations for successful practice are included. In total, this policy brief covers 8 COST member countries to give a glimpse of the current situation of best practice in age management and show how companies in various states deal with ergonomic aspects, health interventions and the ageing of their labour force. (shrink)

On the issue of abortion, Ireland and Poland have been among the most conservative countries in Europe. Their legal and cultural approaches to this issue have been deeply influenced by the institution of the Catholic Church and its purported role as a defender of an authentic national identity. However, their political climates for abortion reform are increasingly divergent: Ireland has liberalised its abortion law substantially since 2018, while Poland is moving towards further criminalisation with the repeated introduction of restrictive laws (...) in parliament. Both have seen active pro-choice movements who mobilise for reform and widespread non-compliance with their restrictive abortion laws, but the policy impact of these trends varies significantly. What accounts for this difference? This article draws on comparative analysis of Ireland and Poland to assess their divergent trajectories on abortion reform, arguing that the most significant driver of change between the two is the disparity in influence of the Catholic Church on politics and policymaking. (shrink)

The west-centrism in approaching the knowledge systems of east has been sufficiently highlighted and problematized. This paper argues that the attempts have often been restricted to a framework of colonial gaze that prevents the Indian classical philosophy from gaining a vantage of its own. The approach to the classical traditions have been largely fragmented, catering to the pressure of proving its “relevance” either as a knowledge system or as texts with useful resources and answers to contemporary problems. This “problem solving” (...) framework at the very outset de-recognizes the capacity of an entire philosophical tradition of problem identification and formulation, unsettling terrains of knowledge by asking new questions. The article presents a case for theorizing relevance as a prerequisite to resolving some of these issues. (shrink)

The paper provides a comprehensive overview of European radical parties. The main aim of this paper is to examine whether there are common patterns regarding these parties, and to analyse the implications of this phenomenon. In order to achieve the above, the paper proceeds as follows: Firstly, the phenomenon of political radicalisation in contemporary Europe is explored. This leads to mapping the radical political landscape in Europe. Finally, the paper concludes with the analysis of the possible outcomes of radicalisation of (...) European politics including the possible societal effects. By doing so the paper argues that a fresh theoretical approach to comprehend the phenomenon is necessary. (shrink)